Resources

Welcome to our searchable resource and literature collection on safer supply and related topics.

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Reduced Emergency Department Visits and Hospitalisation with Use of an Unsanctioned Safe Consumption Site for Injection Drug Use in the United States

To evaluate whether use of the unsanctioned SCS affected medical outcomes.
Original research | 2022
Overdose, Harm reduction, About PWUD, Outcomes, Illegal drugs, SCS/OPS

Rural opioid treatment program patient perspectives on take-home methadone policy changes during COVID-19: a qualitative thematic analysis

We explored patient perspectives at three opioid treatment programs serving rural communities on how take-home policy changes were received and implemented and how these changes impacted their addi

Original research | 2021
Policy/Regulatory, About PWUD, Barriers and enablers, Outcomes, Rural/remote, Substitution/OAT, Social benefits, Diversion, Carries/take-home doses

The dangerous use of inhalants among teens: A case report

In this article we provide an overview of this new drug trend and present a case report of a 14-year-old girl, who was admitted at our Addiction Treatment Unit (Ser.D) in Trento (Italy) after inh
Case study | 2021
About PWUD, Illegal drugs, Youth, Mental health

The effect of a methadone reformulation on opioid agonist treatment outcomes: A population-based study in British Columbia, Canada, 2013–14

The province of British Columbia, Canada, changed the existing oral anhydrous methadone solution to a 10-times more concentrated pre-mixed solution, Methadose®, on February 1, 2014.
Original research | 2021
Policy/Regulatory, About PWUD, Outcomes, Substitution/OAT

The killing of social leaders: An unintended effect of Colombia's illicit crop substitution program

This paper illustrates an unintended effect of the largest crop substitution program in the world, namely increased violence against social leaders.
Original research | 2022
Policy/Regulatory, Crime, Illegal drugs, Substitution/OAT, Social benefits

Trauma Informed Practice and the Opioid Crisis: A Discussion Guide for Health Care and Social Service Providers

Research has shown that the vast majority of individuals who experience problems with opioid misuse and addiction have current or past experiences of trauma and violence.
Guide or handbook | 2018
Clinical guidance, Harm reduction, Sex/Gender , Mental health

Trends, Patterns, and Maternal Characteristics of Opioid Prescribing During Pregnancy in a Large Population-based Cohort Study

We linked statewide PDMP and birth certificate data in Tennessee (TN) to determine patterns of prescription opioid and benzodiazepine use during pregnancy.

Original research | 2022
About prescribers, Sex/Gender , Parents/caregivers

«One prick and then it´s done»: a mixed-methods exploratory study on intramuscular injection in heroin-assisted treatment

Intramuscular (IM) injection of drugs is associated with high rates of injecting-related injuries and diseases.
Original research | 2021
Harm reduction, Safer supply, About PWUD, Outcomes

“I’m Not a Good Drug Dealer”: Styles of Buprenorphine Diversion in a Multisite Qualitative Study

Little is known about the circumstances and motivations that surround buprenorphine diversion, particularly within the context of treatment expansion.
Original research | 2022
Policy/Regulatory, Substitution/OAT, Diversion

A controlled-release oral opioid supports S. aureus survival in injection drug preparation equipment and may increase bacteremia and endocarditis risk.

Hydromorphone controlled-release (Hydromorphone-CR) requires a complex technique for injection and therefore provides multiple opportunities for contamination.
Original research | 2019
Harm reduction, Safer supply, Injecting drugs

A qualitative study of service engagement and unmet needs among unstably housed people who inject drugs in Massachusetts

In 2018, the Massachusetts Department of Public Health (MDPH) and the Centers for Disease Control and Prevention (CDC) investigated an increase in HIV diagnoses primarily among unstably housed PWID in
Original research | 2022
Wrap-around services, About PWUD, Social services, Barriers and enablers, Poverty, Housing, Substitution/OAT, Mental health

Collecting Data During the COVID-19 Pandemic: Lessons From an In-Person Survey of People Who Use Opioids

To inform future surveillance and research during the pandemic and other public health disasters, we report methods and lessons learned from an in-person survey of people who use opioids conducted by
Original research | 2022
Equity, About PWUD, Illegal drugs, Peer/PWLLE program involvement

Decriminalization Done Right: A Rights-Based Path for Drug Policy

Report | 2021
Policy/Regulatory, Decriminalization/legalization, Equity, Advocacy, Poverty, Illegal drugs

Experiences of overdose among people who inject drugs in Toronto

In this study, we wanted to examine the experience of overdose from the point of view of people who inject drugs.
Report | 2022
Overdose, Equity, About PWUD, Poverty, Illegal drugs, Indigenous, Stigma, Hospitals

Experiences of racial discrimination in the medical setting and associations with medical mistrust and expectations of care among black patients seeking addiction treatment

Experiences of racial discrimination in the medical setting are common among Black patients and may be linked to mistrust in medical recommendations and poorer clinical outcomes.
Original research | 2022
Hesitancy of prescribers , Equity, About prescribers, Barriers and enablers

Experiences of stigma in hospitals with addiction consultation services: A qualitative analysis of patients' and hospital-based providers' perspectives

We aimed to understand how the presence of an addiction consultatoin service affected patients' and hospital-based providers' experiences with stigma in the hospital setting.
Original research | 2021
About prescribers, About PWUD, Stigma, Hospitals

Impacts of overdose on front-line harm reduction workers in the City of Toronto

This report summarizes the impact of overdoses and overdose-related loss on harm reduction workers and strategies to address their support needs.
Report | 2021
Overdose, Wrap-around services, Social services, Workplace

Latent patterns of polysubstance use among people who use opioids: A systematic review

Person-centered analytical approaches (e.g., latent class analysis) provide a holistic understanding of individuals’ substance use patterns and help understand PSU heterogeneities among PWUO and their
Lit review | 2022
About PWUD, Housing, Legal system/law enforcement, Illegal drugs, Stimulants, Mental health

Mapping the research addressing prescription drug monitoring programs: A scoping review

A scoping review was undertaken to identify the research on prescription drug monitoring programs published between January 2015 and April 2021.
Scoping review | 2022
Harm reduction, Policy/Regulatory, Safer supply, About prescribers, Substitution/OAT

Medications for opioid use disorder during pregnancy: Access and continuity in a state women’s prison facility, 2016-2019

Although medications to treat opioid use disorder (MOUD) are the standard of care during pregnancy, there are many potential gaps in the cascade of care for pregnant people experiencing incarceration.
Original research | 2022
About PWUD, Legal system/law enforcement, Substitution/OAT

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